Xunda a. Gibson MD P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

XUNDA A. GIBSON MD P.A.

Practice address

17940 NW 27TH Ave
Miami Gardens, FL 33056-3505

Phone

(305) 621-8899

NPI assigned

Apr 19, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Xunda A Gibson, MDNPI 1205879202

Title

President

Phone

(561) 543-0616

Specialties & licenses 1

Addresses

Other names 1

• Xunda A. Gibson MD P.A. Former legal business name

Medicare fee-for-service enrollment

Enrolled in VI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Xunda A. Gibson, M.D.

  • Internal Medicine Physician
  • Miami Gardens, FL
  • NPI 1205879202

  VI

  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1713484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713484800000",
    "number": "1225883523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2436 N FEDERAL HWY STE 229",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330646854",
            "telephone_number": "561-543-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17940 NW 27TH AVE",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330563505",
            "telephone_number": "305-621-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XUNDA A. GIBSON MD P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-19",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "XUNDA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-543-0616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Xunda A. Gibson MD P.A.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Miguel Alejandro Zaldivar Martinez

• Internal Medicine Physician in Miami Gardens, FL
• Providers in Miami Gardens, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.